MedPath

Studying First Line Treatment of Chronic Myeloid Leukemia (CML) in a Real-world Setting

Completed
Conditions
Chronic Myeloid Leukemia
Registration Number
NCT01244750
Lead Sponsor
Bristol-Myers Squibb
Brief Summary

The purpose of this study is to better understand the use of tyrosine kinase inhibitors (TKI) in patients newly diagnosed with CML and their quality of life in a real-world setting.

Detailed Description

Time Perspective : Most patients are expected to be a mix of retrospective and prospective data collection. Patients can be enrolled after their study index date (retrospective component) and have to be followed until 5 years from study index date are complete (time between enrollment and 5 year follow-up is the prospective component)

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1494
Inclusion Criteria
  • Newly-diagnosed chronic phase chronic myeloid leukemia (CP-CML) patients who started their first-line Tyrosine Kinase Inhibitor (TKI) treatment on imatinib, dasatinib or nilotinib in accordance with the timelines below

  • 18 years or older at time of of CP-CML diagnosis

    a) Imatinib Cohorts

  • Patients who started their first-line Imatinib treatment between January 2, 2008 and September 30, 2010.Patients fitting this criterion are defined as retrospective Imatinib patients

  • Patients who started their first-line Imatinib treatment on or after October 1, 2010

    b) Dasatinib Cohort

  • Patients who started their first-line Dasatinib treatment after the drug was approved in this indication

    c) Nilotinib Cohort

  • Patients who started their first-line Nilotinib treatment after the drug was approved in this indication

  • Patients are also eligible when they have already switched to a subsequent therapy (TKI or other) at the time of enrollment, as long as their first-line and subsequent CML treatment information is available at site for data entry into the study Electronic Case Report Form (eCRF)

  • Receiving treatment at medical practice (eg. community-based, office-based, hospital-based, academic setting, oncology center)

Read More
Exclusion Criteria
  • Patients who are participating in an interventional trial which may influence the management of their CML disease will be excluded

Discontinuation Criteria:

  • Enrolled patients who join an interventional trial which may influence the management of their CML disease will be excluded at the time of entry into the interventional trial
Read More

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The rate of best response to therapy (i.e. hematologic, cytogenetic, molecular response)Every 6 months for a follow-up period of 5-years from study index date

Results and dates of: all bone marrow aspirates, blood tests, cytogenetics, Polymerase Chain Reaction (PCR), Fluorescent In-Situ Hybridization (FISH), and Physical exam

The rate of discontinuation and treatment changes after initial TKI treatmentEvery 6 months for a follow-up period of 5-years from study index date

Dates of switches in therapy from initial TKI treatment, Reasons for treatment discontinuation (i.e. side effects, mutations, etc.), Subsequent lines of CML treatments (start and stop dates)

The duration of initial TKI treatment5-years from study index date

Initiation of first-line TKI, (whether Dasatinib, Imatinib, Nilotinib)

The rate of Complete Cytogenetic Response12 months
The adherence to treatmentEvery 6 months for a follow-up period of 5-years from study index date

Morisky Medication Adherence Scale - 8 Items is a validated self-reported measure of medication adherence.

Secondary Outcome Measures
NameTimeMethod
Impact of first-line treatment options on quality of lifeEvery 6 months

Questionnaires used for assessment:

Functional Assessment of Cancer Therapy - General (FACT-G), Cancer Therapy Satisfaction Questionnaire (CTSQ), MD Anderson Symptom Inventory - CML (MDASI-CML).

Resource utilization associated with CML managementEvery 6 months

To evaluate healthcare resource utilization, descriptive statistics will describe real-world disease monitoring patterns, frequency of testing, and resources used for disease management for each treatment cohort.

Non-hematologic side effects from treatment affecting patient quality of life and outcomesEvery 6 months

Treatment discontinuations and changes

Patient satisfaction with CML treatmentEvery 6 months

Cancer Therapy Satisfaction Questionnaire (CTSQ)

Patterns of disease monitoring as observed in a real-world settingEvery 6 months

MD Anderson Symptom Inventory - CML (MDASI-CML) Questionnaire - disease-specific module of the MDASI7 which is a brief measure of severity and impact of cancer-related symptoms on daily function

Trial Locations

Locations (142)

University of Southern California

๐Ÿ‡บ๐Ÿ‡ธ

Los Angeles, California, United States

Peachtree Hematology-Oncology

๐Ÿ‡บ๐Ÿ‡ธ

Atlanta, Georgia, United States

Emory University

๐Ÿ‡บ๐Ÿ‡ธ

Atlanta, Georgia, United States

Boston VA Healthcare System

๐Ÿ‡บ๐Ÿ‡ธ

Boston, Massachusetts, United States

Baptist Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Miami, Florida, United States

Indiana Blood and Marrow Transplantation

๐Ÿ‡บ๐Ÿ‡ธ

Indianapolis, Indiana, United States

Investigative Clinical Research of Indiana

๐Ÿ‡บ๐Ÿ‡ธ

Indianapolis, Indiana, United States

Cotton O'Neil Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Topeka, Kansas, United States

Hutchinson Clinic

๐Ÿ‡บ๐Ÿ‡ธ

Hutchinson, Kansas, United States

Arizona Oncology Associates, PC - NAHOA

๐Ÿ‡บ๐Ÿ‡ธ

Sedona, Arizona, United States

Washington Hospital Center, Washington Cancer Institute

๐Ÿ‡บ๐Ÿ‡ธ

Washington, District of Columbia, United States

Little Rock Hematology Oncology Associates

๐Ÿ‡บ๐Ÿ‡ธ

Little Rock, Arkansas, United States

Genesis Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Hot Springs National Park, Arkansas, United States

George Washington University

๐Ÿ‡บ๐Ÿ‡ธ

Washington, District of Columbia, United States

Arizona Oncology Associates, PC - HOPE

๐Ÿ‡บ๐Ÿ‡ธ

Tucson, Arizona, United States

NEA Baptist Clinic

๐Ÿ‡บ๐Ÿ‡ธ

Jonesboro, Arkansas, United States

Stamford Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Stamford, Connecticut, United States

Medical Oncology and Blood Disorders, LLP

๐Ÿ‡บ๐Ÿ‡ธ

Manchester, Connecticut, United States

Rocky Mountain Cancer Centers

๐Ÿ‡บ๐Ÿ‡ธ

Boulder, Colorado, United States

Puerto Rico Hematology Oncology Group

๐Ÿ‡ต๐Ÿ‡ท

Bayamon, Puerto Rico

Prairie Lakes Healthcare System, Inc

๐Ÿ‡บ๐Ÿ‡ธ

Watertown, South Dakota, United States

Arizona Oncology Associates, PC - HAL

๐Ÿ‡บ๐Ÿ‡ธ

Phoenix, Arizona, United States

Billings Clinic

๐Ÿ‡บ๐Ÿ‡ธ

Billings, Montana, United States

Frederick Memorial Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Frederick, Maryland, United States

Maryland Oncology Hematology Pa

๐Ÿ‡บ๐Ÿ‡ธ

Columbia, Maryland, United States

West Michigan Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Kalamazoo, Michigan, United States

Cancer & Hematology Centers of Western Michigan

๐Ÿ‡บ๐Ÿ‡ธ

Grand Rapids, Michigan, United States

South Coast Health System

๐Ÿ‡บ๐Ÿ‡ธ

Fall River, Massachusetts, United States

Hackensack University Medical Center

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Hackensack, New Jersey, United States

Consultants In Blood Disorders

๐Ÿ‡บ๐Ÿ‡ธ

Saint Matthews, Kentucky, United States

Commonwealth Hematology-Oncology, P.C.

๐Ÿ‡บ๐Ÿ‡ธ

Quincy, Massachusetts, United States

Willis-Knighton Cancer System

๐Ÿ‡บ๐Ÿ‡ธ

Shreveport, Louisiana, United States

UMass Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Worcester, Massachusetts, United States

Waverly Hematology Oncology

๐Ÿ‡บ๐Ÿ‡ธ

Cary, North Carolina, United States

Michigan State University

๐Ÿ‡บ๐Ÿ‡ธ

Lansing, Michigan, United States

Hematology-Oncology Associates of Northern NJ, PA

๐Ÿ‡บ๐Ÿ‡ธ

Morristown, New Jersey, United States

Portsmouth Regional Hospital

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Portsmouth, New Hampshire, United States

Oregon Health & Science University

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Portland, Oregon, United States

Gabrail Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Canton, Ohio, United States

Advanced Oncology

๐Ÿ‡บ๐Ÿ‡ธ

New York, New York, United States

Lehigh Valley Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Allentown, Pennsylvania, United States

North Mississippi Hematology & Oncology

๐Ÿ‡บ๐Ÿ‡ธ

Tupelo, Mississippi, United States

Southern Oncology Hematology

๐Ÿ‡บ๐Ÿ‡ธ

Vineland, New Jersey, United States

Broome Oncology

๐Ÿ‡บ๐Ÿ‡ธ

Johnson City, New York, United States

St John's Clinic for Cancer and Hematology

๐Ÿ‡บ๐Ÿ‡ธ

Springfield, Missouri, United States

Alamance Regional Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Burlington, North Carolina, United States

Stony Brook University Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Stony Brook, New York, United States

Vassar Brothers Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Poughkeepsie, New York, United States

Gaston Hematology Oncology

๐Ÿ‡บ๐Ÿ‡ธ

Gastonia, North Carolina, United States

Akron General Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Akron, Ohio, United States

Lancaster General Health

๐Ÿ‡บ๐Ÿ‡ธ

Lancaster, Pennsylvania, United States

Berks Hematology-Oncology

๐Ÿ‡บ๐Ÿ‡ธ

West Reading, Pennsylvania, United States

Veterans Research Foundation of Pittsburgh

๐Ÿ‡บ๐Ÿ‡ธ

Pittsburgh, Pennsylvania, United States

Medical Oncology Associates of Wyoming Valley, PC

๐Ÿ‡บ๐Ÿ‡ธ

Kingston, Pennsylvania, United States

The Cancer Center at Memorial Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Pawtucket, Rhode Island, United States

Texas Oncology-Methodist Charlton Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Dallas, Texas, United States

Michael DeBakey VA Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Houston, Texas, United States

Geisinger Health System

๐Ÿ‡บ๐Ÿ‡ธ

Wilkes-Barre, Pennsylvania, United States

Hematology Oncology Associates of Fredricksburg

๐Ÿ‡บ๐Ÿ‡ธ

Fredericksburg, Virginia, United States

St. Luke's Hospital and Health Network

๐Ÿ‡บ๐Ÿ‡ธ

Bethlehem, Pennsylvania, United States

Texas Oncology

๐Ÿ‡บ๐Ÿ‡ธ

Waco, Texas, United States

Texas Oncology-Midland Allison Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Midland, Texas, United States

Wheeling Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Wheeling, West Virginia, United States

Texas Oncology-McAllen South Second

๐Ÿ‡บ๐Ÿ‡ธ

McAllen, Texas, United States

City Hospital - West Virginia University Hospital East

๐Ÿ‡บ๐Ÿ‡ธ

Martinsburg, West Virginia, United States

Julie & Ben Rogers Cancer Institute

๐Ÿ‡บ๐Ÿ‡ธ

Beaumont, Texas, United States

University of Tennessee Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Knoxville, Tennessee, United States

Texas Oncology - Arlington South

๐Ÿ‡บ๐Ÿ‡ธ

Arlington, Texas, United States

Texas Oncology-Medical City Dallas

๐Ÿ‡บ๐Ÿ‡ธ

Dallas, Texas, United States

Tennessee Cancer Specialists

๐Ÿ‡บ๐Ÿ‡ธ

Knoxville, Tennessee, United States

Avera Research Institute

๐Ÿ‡บ๐Ÿ‡ธ

Sioux Falls, South Dakota, United States

Hematology and Oncology Associates of RI

๐Ÿ‡บ๐Ÿ‡ธ

Cranston, Rhode Island, United States

Cancer Care Association Of York

๐Ÿ‡บ๐Ÿ‡ธ

York, Pennsylvania, United States

MD Anderson Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Houston, Texas, United States

Texas Oncology-Odessa West Texas Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Odessa, Texas, United States

Texas Oncology-Dallas Presbyterian Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Dallas, Texas, United States

Cancer Care Centers of South Texas

๐Ÿ‡บ๐Ÿ‡ธ

San Antonio, Texas, United States

North Texas Regional Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Plano, Texas, United States

Providence Cancer Center at Sacred Heart Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Spokane, Washington, United States

Yakima Valley Memorial Hospital/North Star Lodge

๐Ÿ‡บ๐Ÿ‡ธ

Yakima, Washington, United States

Danville Hematology & Oncology

๐Ÿ‡บ๐Ÿ‡ธ

Danville, Virginia, United States

Charleston Area Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Charleston, West Virginia, United States

Wenatchee Valley Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Wenatchee, Washington, United States

Aspirus Regional Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Wausau, Wisconsin, United States

Local Insitution

๐Ÿ‡ช๐Ÿ‡ธ

Toledo, Spain

Local Institution

๐Ÿ‡ช๐Ÿ‡ธ

Santiago De Compostela-A Coruรฑa, Spain

Cancer Care Associates

๐Ÿ‡บ๐Ÿ‡ธ

Tulsa, Oklahoma, United States

St. Lukes Roosevelt Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

New York, New York, United States

Sturdy Hematology & Oncology Associates

๐Ÿ‡บ๐Ÿ‡ธ

Attleboro, Massachusetts, United States

Signal Point Clinical Research Center, LLC

๐Ÿ‡บ๐Ÿ‡ธ

Middletown, Ohio, United States

Medical Center of Newark

๐Ÿ‡บ๐Ÿ‡ธ

Newark, Ohio, United States

Hematology/Oncology Salem LLP

๐Ÿ‡บ๐Ÿ‡ธ

Salem, Oregon, United States

Bms Clinical Research Center

๐Ÿ‡บ๐Ÿ‡ธ

Does Not Exist, New Jersey, United States

Peninsula Cancer Institute

๐Ÿ‡บ๐Ÿ‡ธ

Newport News, Virginia, United States

Blue Ridge Cancer Care

๐Ÿ‡บ๐Ÿ‡ธ

Roanoke, Virginia, United States

Duke University Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Durham, North Carolina, United States

University Of Florida

๐Ÿ‡บ๐Ÿ‡ธ

Jacksonville, Florida, United States

Northwest Alabama Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Muscle Shoals, Alabama, United States

Southwest Cancer Care Medical Group

๐Ÿ‡บ๐Ÿ‡ธ

Escondido, California, United States

Wilshire Oncology Medical Group, Inc

๐Ÿ‡บ๐Ÿ‡ธ

Glendora, California, United States

St. Joseph's Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Orange, California, United States

Stockton Hematology Oncology

๐Ÿ‡บ๐Ÿ‡ธ

Stockton, California, United States

Tahoe Forest Health System Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Truckee, California, United States

PMK Medical Group, Inc. DBA Ventura

๐Ÿ‡บ๐Ÿ‡ธ

Oxnard, California, United States

Hematology And Medical Oncology Of Southern Palm Beach County

๐Ÿ‡บ๐Ÿ‡ธ

Boynton Beach, Florida, United States

Baptist Cancer Institute

๐Ÿ‡บ๐Ÿ‡ธ

Jacksonville, Florida, United States

Central Florida Health Alliance

๐Ÿ‡บ๐Ÿ‡ธ

Leesburg, Florida, United States

Watson Clinic

๐Ÿ‡บ๐Ÿ‡ธ

Lakeland, Florida, United States

Florida Cancer Specialists

๐Ÿ‡บ๐Ÿ‡ธ

New Port Richey, Florida, United States

Lake County Oncology and Hematology

๐Ÿ‡บ๐Ÿ‡ธ

Tavares, Florida, United States

Space Coast Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Titusville, Florida, United States

Georgia Cancer Specialist

๐Ÿ‡บ๐Ÿ‡ธ

Sandy Springs, Georgia, United States

Mid-Illinois Hem/Onc Asoc

๐Ÿ‡บ๐Ÿ‡ธ

Normal, Illinois, United States

Delnor Community Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Geneva, Illinois, United States

Lewis Hall Singeltary Oncology Center

๐Ÿ‡บ๐Ÿ‡ธ

Thomasville, Georgia, United States

Mahafzah Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

Evergreen Park, Illinois, United States

North Chicago VA Medical Center

๐Ÿ‡บ๐Ÿ‡ธ

North Chicago, Illinois, United States

Southern Illinois School of Medicine

๐Ÿ‡บ๐Ÿ‡ธ

Springfield, Illinois, United States

Central DuPage Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Winfield, Illinois, United States

Saint John's Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Anderson, Indiana, United States

Horizon Oncology Research, Inc

๐Ÿ‡บ๐Ÿ‡ธ

Lafayette, Indiana, United States

Cancer Care Center, Inc. PC

๐Ÿ‡บ๐Ÿ‡ธ

New Albany, Indiana, United States

N. Iowa Mercy Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Mason City, Iowa, United States

Cancer Center of Kansas

๐Ÿ‡บ๐Ÿ‡ธ

Wichita, Kansas, United States

Broward Oncology Associates

๐Ÿ‡บ๐Ÿ‡ธ

Fort Lauderdale, Florida, United States

Northwest Georgia Oncology Centers, PC

๐Ÿ‡บ๐Ÿ‡ธ

Marietta, Georgia, United States

Pacific Cancer Medical Center, Inc

๐Ÿ‡บ๐Ÿ‡ธ

Anaheim, California, United States

Palm Springs Research Institute

๐Ÿ‡บ๐Ÿ‡ธ

Hialeah, Florida, United States

Carle Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Urbana, Illinois, United States

East Carolina University

๐Ÿ‡บ๐Ÿ‡ธ

Greenville, North Carolina, United States

Cancer Centers of Florida

๐Ÿ‡บ๐Ÿ‡ธ

Orlando, Florida, United States

OnCare

๐Ÿ‡บ๐Ÿ‡ธ

Honolulu, Hawaii, United States

Straub Clinical & Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Honolulu, Hawaii, United States

Kaiser Permanente Honolulu

๐Ÿ‡บ๐Ÿ‡ธ

Honolulu, Hawaii, United States

Central Baptist Hospital

๐Ÿ‡บ๐Ÿ‡ธ

Lexington, Kentucky, United States

University of Louisville Hospital - Brown Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Louisville, Kentucky, United States

Ochsner Clinic Foundation

๐Ÿ‡บ๐Ÿ‡ธ

New Orleans, Louisiana, United States

Omaha VAMC

๐Ÿ‡บ๐Ÿ‡ธ

Omaha, Nebraska, United States

Montefiore Medical Center / AECOM

๐Ÿ‡บ๐Ÿ‡ธ

Bronx, New York, United States

Charleston Cancer Center

๐Ÿ‡บ๐Ÿ‡ธ

Charleston, South Carolina, United States

Texas Oncology-Austin North

๐Ÿ‡บ๐Ÿ‡ธ

Austin, Texas, United States

Swedish Cancer Institute-Eastside Hematology/Oncology

๐Ÿ‡บ๐Ÿ‡ธ

Bellevue, Washington, United States

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